The effect of a group exercise program versus a single education session on exercise adherence in pa

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The effect of a group exercise program versus a
single education session on exercise adherence in
patients with Diabetes Mellitus a pilot study.

• Jane McCaig Katherine Basilewsky
• Exercise Physiologists
• Bendigo Health

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Background

• Well documented evidence supporting the benefits
  of exercise for those with diabetes mellitus
• Need to encourage long term exercise adherence
  due to transitory nature of benefits.
• Conflicting evidence regarding facilitation of
  long term exercise adherence.

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Background

• Cox et al (2003) found group based training
  enhanced short term adherence in sedentary older
  women
• Raji et al (2002) stated that education for
  patients with diabetes mellitus can improve
  outcomes if patients are susceptive to education.

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Hypothesis

• That participants with diabetes mellitus who
  complete a structured group exercise program will
  have better long term exercise adherence than
  those attending a single education session only.

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Aims

• To increase long term exercise adherence in
  patients with diabetes mellitus
• To determine the viability of an ongoing exercise
  program at John Lindell Rehabilitation Unit
  Bendigo Health for patients with diabetes
  mellitus.

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Methods

• Subjects recruited from Bendigo Health randomly
  assigned to the control group (education only) or
  experimental group (group exercise program).
• Active Australia survey completed to measure
  current physical activity levels.

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Methods

• Both groups attended a one hour education session
• Benefits
• Precautions
• Risks
• Recommended frequencies modes of exercise.

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Methods

• Experimental group participated in a group
  exercise program.
• 12 weeks
• Fully supervised by exercise physiologists
• 2 sessions per week
• 1 hour per session
• Aerobic and strength conditioning programs

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Exercise Sessions

• Treadmill
• Arm Ergometer
• Squats
• Bicep Curls
• Calf Raises
• Bent Over Rows
• Hip Extension
• 1RM on first session

• Stationary Bike
• Chest Press
• Lat Pulldown
• Tricep Pushdown
• Lateral Raises
• BORG Scale used

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Methods

• Active Australia survey repeated by both groups
  at
• 3 months
• 6 months
• 12 months

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Subjects

• 13 subjects were recruited and randomly assigned
  to exercise (9) or home (4) groups
• 1 male and 12 females
• All Type II DM
• Mean age 72 yrs (home) 63 years (ex)
• Subjects gave informed consent and required
  medical clearance

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RESULTS
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Minutes of Exercise per wk (Home)
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Minutes of Ex per wk (Exercise)
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Average Mins Exercise per Week
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Conclusions

• Participating in 12 week supervised exercise
  program can significantly improve exercise
  adherence at 12 months when compared to a single
  education session only.

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Conclusions

• No statistically significant difference between
  baseline and 12 months exercise level in exercise
  group maintenance??
• Further investigation required to verify results.

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Limitations

• Small subject numbers
• Limited by recruitment strategies only
  recruited from within Bendigo Health.

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References

• Cox K. Burke V. Gorley T. Beilin L. Puddey I.
  (2003) Controlled comparison of retention and
  adherence in home vs centre-initialed exercise
  interventions in women aged 40-65 years The
  SWEAT study (Sedentary women exercise adherence
  trial). Preventative Medicine 36. 17-29.
• Raji A. Gomes H. Beard J. MacDonald P. Conlin
  P. (2002) A randomized control trial comparing
  intensive and passive education in patients with
  diabetes mellitus. Archives of Internal Medicine
  162 (11) 1301-1307.

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Thank You